The Case Against Florida’s Proposed Managed Long-Term Care Experiment

The Florida Legislature’s 2011 Medicaid reform law is designed to move the entire Medicaid population into managed care organizations (MCO) beginning with elderly and disabled in 2013.  The state must receive waiver approval from the Center for Medicaid and Medicare Services (CMS).  The rationale for this qualitative shift in Medicaid policy is that it will […]

Proposed Changes to Florida Medicaid’s Long-Term Care Program.

Florida’s 2011 Managed Care Legislation, HB 7107, established “Medicaid Managed Care,” a new statewide managed care program for all covered services. The program is expected control Medicaid program costs by using a capitated rather than fee-for-service payment model  Two separate components are anticipated for  the new program: the Florida Long-Term Care Managed Care program, slated for implementation first, and […]

Fla. House ignores own analysts who warn of pushing elderly to managed care

Elderly Floridians who want to stay out of nursing homes would be forced into managed care under two bills passed Monday by the House in an effort to pare Medicaid costs. But the Legislature’s own policy analysts suggest that managed care may be more expensive for frail older people, based on the track record of […]

Private Medicaid plans face sweeping new regulations under CMS proposal

The CMS has released a sweeping proposed rule (PDF) intended to modernize the regulation of Medicaid managed-care plans. The Medicaid managed-care population is growing rapidly, but the last regulation governing such plans was issued in 2002. In one provision that generated frustration among health insurers in the hours after the draft was posted, the CMS […]